Petersen, Allison Wichmann

Petersen, Allison Wichmann is an individual health care provider with primary practice located at 8100 W 78Th St Ste 230 , Edina MN 55439-2570. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Petersen, Allison Wichmann can be contacted via phone (952) 946-9777.

Contact Information

Primary practice address
8100 W 78Th St Ste 230 Edina MN 55439-2570
Phone: (952) 946-9777
Fax: (952) 946-9888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 11606 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11606 Minnesota

Profile Details

NPI number 1932336864
LBN Legal business name Petersen, Allison Wichmann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Nov 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932336864 NPPES
Illinois Other 1633878 BCBS PPO
Illinois Other P01010061 BCBS PPO

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